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<title>Saviance</title>




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<body id="faculty_profile">
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  <div id="container-11" style="float:left; padding: 0px; width: 730px;">
		<ul class="tabs-nav">
			<li class="fragment-28 tabs-selected"><a href="#"><span> Basic Info. </span></a></li>
			<li class="fragment-29"><a href="education-qualification-edit.php"><span> Education Qua.</span></a></li>
			<li class="fragment-31"><a href="website-profile-edit.php"><span> Website Profile</span></a></li>
			<li class="fragment-32"><a href="research-and-publications-edit.php"><span>Research & Public.</span></a></li>
			<li class="fragment-33"><a href="conferences-and-other-works-edit.php"><span>Conferences & Other works</span></a></li>
			<li style="display: none;" class=""><a href="#">Other Works</a></li>
	</ul>

<div id="fragment-28" class="tabs-container">
	<div class="personalDetailsForm">

<fieldset style="width:98%;" class="border" id="set3" name="set3">
	<table width="100%" border="0" cellpadding="0" cellspacing="0">
	<tr>
  <td colspan="3">&nbsp;</td>
</tr>
  <tr>
    <td width="31%" rowspan="4"><img src="images/picture-47.jpg" alt="Demo.Faculty@fms.edu's picture" width="79" height="85" border="0" title="Demo.Faculty@fms.edu's picture" /></td>
    <td width="16%" height="25"><strong>Name :</strong></td>
    <td width="53%" height="25"><input name="txtAppFirstName" type="text" class="text_field_name1" id="txtAppFirstName" onkeypress="return onlyAlpha_forName(this,event);" value="First Name" size="18" maxlength="40"> <input name="txtAppFirstName" type="text" class="text_field_name2" id="txtAppFirstName" onkeypress="return onlyAlpha_forName(this,event);" value="Meddle Name" size="10" maxlength="40"> <input name="txtAppFirstName" type="text" class="text_field_name3" id="txtAppFirstName" onkeypress="return onlyAlpha_forName(this,event);" value="Last Name" size="12" maxlength="40"></td>
  </tr>
  
   <tr>
    <td height="25"><strong>Date of Birth : </strong></td>
    <td height="25"><input name="appDob" type="text" class="text_field" id="appDob" value="08/21/1982" readonly="true">
						  <img src="images/calendar.gif" hspace="2" border="0" align="absmiddle" id="dobImg" onclick="showdatetimepicker('appDob')"></td>
  </tr>
   <tr>
     <td height="25"><strong>Gender :</strong> </td>
     <td height="25"><input name="txtAppSex_R" type="radio" id="txtAppSex_R" onclick="fnCheckRadio(this,'txtAppSex')" value="Male" checked="checked">
  Male
							<input type="radio" onclick="fnCheckRadio(this,'txtAppSex')" value="Female" id="txtAppSex_R" name="txtAppSex_R">Female</td>
   </tr>
   
   <tr>
    <td height="25"><strong>Specialization :</strong></td>
    <td height="25"><select style="width: 180px;" class="Country_field" id="select2" name="select2">
  <option selected="selected" value="">--select--</option>
  <option value="01">M.SC (Nursing)</option>
  <option value="02">B.SC (Nursing)</option>
</select></td>
  </tr>
   <tr>
   <td><input name="file" type="file" size="12" /></td>
    <td height="25"><strong>Ext :</strong></td>
    <td height="25"><input name="txtAppFirstName" type="text" class="text_field_name" id="txtAppFirstName" onkeypress="return onlyAlpha_forName(this,event);" value="358" size="10" maxlength="40"></td>
  </tr>
  
  
 
  <tr>
    <td height="20" colspan="2"><label>
      
    </label></td>
    <td height="25">&nbsp;</td>
  </tr>
</table>
</fieldset>

<fieldset style="width:98%;" class="border" id="set3" name="set3">
<legend class="FormTitle"><span id="translate40">&nbsp; General Information</span></legend>
<table width="100%" cellspacing="0" cellpadding="0px" border="0" align="CENTER" id="entinf">
<tr>
  <td>&nbsp;</td>
  <td>&nbsp;</td>
</tr>
<tr>
  <td width="27%" height="30" class="label"><strong>Designation :</strong></td>
  <td width="73%" height="30" class="data">Associate Professor</td>
</tr>
<tr>
  <td height="30" class="label"><strong>Center: </strong></td>
  <td height="30" class="data">Delhi</td>
</tr>
<tr>
<td height="30" class="label"><strong><span id="translate10">Date of Joining </span>:</strong></td>    
<td height="30" class="data">08/21/1982</td>
</tr>
<tr>
  <td height="30" class="label"><strong>ID : </strong></td>
  <td height="30" class="data">45678</td>
</tr>
<tr>
	<td height="30" class="label"><strong><span id="translate19">Status</span>:</strong></td>  
	<td height="30" class="data">Active</td>
</tr>
<tr>
<td class="label">&nbsp;</td>
<td class="data">&nbsp;</td>
</tr></table>
</fieldset>

<fieldset style="width:98%; float:left;" class="border" id="set1" name="set1">
<legend class="FormTitle"><span id="translate24">&nbsp; Contact Information</span></legend>
<table width="100%" cellspacing="0" cellpadding="0" border="0">
<tr>
  <td>&nbsp;</td>
  <td>&nbsp;</td>
</tr>
<tr>
<td width="166" height="25" nowrap="" style="text-align: left; vertical-align: top; padding-left: 3px;"><strong>Address1 :</strong></td>
<td width="439" height="25" nowrap="" style="text-align: left; vertical-align: top;"><input name="txtAddress2" type="text" class="text_field required" id="txtAddress2" onkeypress="return onlyAlphaNumWithSChar(this,event);" value="A5-82," size="30" maxlength="50"></td>
</tr>
<tr>
  <td height="25" class="lab" style="text-align: left; float: left; padding-left: 3px;"><strong>Address2 : </strong></td>
  <td height="25"><input name="txtAddress2" type="text" class="text_field required" id="txtAddress2" onkeypress="return onlyAlphaNumWithSChar(this,event);" value="Heritage India," size="30" maxlength="50"></td>
</tr>
<tr>
  <td height="25" class="lab" style="text-align: left; float: left; padding-left: 3px;"><strong>Street : </strong></td>
  <td height="25"><input name="txtAddress22" type="text" class="text_field required" id="txtAddress22" onkeypress="return onlyAlphaNumWithSChar(this,event);" value="Sector-39" size="30" maxlength="50" /></td>
</tr>
<tr>
  <td height="25" class="lab" style="text-align: left; float: left; padding-left: 3px;"><strong>Country : </strong></td>
  <td height="25"><select onchange="javascript:fnGetDependentData('app_statecode_master',this.value,'entity_id@state_name','country_id','State,District','State,District');javascript:getCountryCode_India(this.value,'Applicant');" style="width: 180px;" name="txtCountry" id="txtCountry" class="Country_field">
				<option selected="selected" value="0">---Select---</option>
			<option value="23">Afghanistan</option><option value="1">Algeria</option><option value="2">Argentina</option><option value="3">Australia</option><option value="4">Austria</option><option value="5">Bangladesh</option><option value="6">Belgia</option><option value="7">Brazil</option><option value="8">British</option><option value="9">Bulgaria</option><option value="10">Cambodia</option><option value="11">Canada</option><option value="12">China</option><option value="13">Colombia</option><option value="14">Dutch</option><option value="15">Egypt</option><option value="16">Ethiop</option><option value="17">Fiji</option><option value="18">France</option><option value="19">Georgia</option><option value="20">German</option><option value="21">Greek</option><option value="22">Hungari</option><option value="25">India</option><option value="24">Indonesia</option><option value="26">Iraq</option><option value="27">Irish</option><option value="28">Israel</option><option value="29">Japan</option><option value="30">Jordan</option><option value="31">Kenya</option><option value="32">Korea</option><option value="33">Kuwait</option><option value="34">Libya</option><option value="35">Malaysia</option><option value="36">Mauriti</option><option value="37">Mexica</option><option value="38">Mongolia</option><option value="39">Nepal</option><option value="40">New Zealand</option><option value="41">Nigeria</option><option value="42">Pakistan</option><option value="43">Palestini</option><option value="44">Portugues</option><option value="45">Rom</option><option value="46">Russia</option><option value="47">Siberia</option><option value="48">Singapore</option><option value="49">South Africa</option><option value="50">Spane</option><option value="51">Sri Lanka</option><option value="52">Sudan</option><option value="53">Swedish</option><option value="54">Swiss</option><option value="55">Taiwan</option><option value="56">Turk</option><option value="57">Ugand</option><option value="58">Ukraini</option><option value="60">Uruguayan</option><option value="64">USA</option><option value="59">Uzbekistan</option><option value="61">Vietnam</option><option value="62">Zimbabwe</option><option value="63">Other</option></select></td>
</tr>
<tr>
  <td height="25" class="lab" style="text-align: left; float: left; padding-left: 3px;"><strong>State : </strong></td>
  <td height="25"><input name="txtAddress22" type="text" class="text_field required" id="txtAddress22" onkeypress="return onlyAlphaNumWithSChar(this,event);" value="Haryana" size="30" maxlength="50" /></td>
</tr>
<tr>
  <td height="25" class="lab" style="text-align: left; float: left; padding-left: 3px;"><strong>City : </strong></td>
  <td height="25"><input name="txtAddress22" type="text" class="text_field required" id="txtAddress22" onkeypress="return onlyAlphaNumWithSChar(this,event);" value="India" size="30" maxlength="50" /></td>
</tr>
<tr>
  <td height="25" class="lab" style="text-align: left; float: left; padding-left: 3px;"><strong>Pin : </strong></td>
  <td height="25"><input name="txtPincode" type="text" class="text_field" id="txtPincode" onkeypress="return isNumber(this,event);" size="30" maxlength="6"></td>
</tr>
<tr>
  <td width="166" height="25" class="lab" style="text-align: left; float: left; padding-left: 3px;"><strong><span id="translate33">Mobile </span>:</strong></td>
<td height="25"><input name="txtMobileAreaCode" type="text" class="text_field required" id="txtMobileAreaCode" onkeypress="return isNumber(this,event);" value="+91" size="5" maxlength="3">
			<input name="txtMobileNo" type="text" class="text_field required" id="txtMobileNo" onkeypress="return isNumber(this,event);" value="9987554432" size="18" maxlength="10"></td>
</tr>
<tr><td width="166" height="25" class="lab" style="text-align: left; float: left; padding-left: 3px;"><strong><span id="translate8">Email</span>:</strong></td>
  <td height="25"><input name="txtEmail2" type="text" class="text_field required" id="txtEmail2" onkeypress="return onlyEmail(this,event);" value="kumal.manchanda@uni.edu" size="30" maxlength="50" /></td>
</tr>
<tr><td width="166" height="25" class="lab" style="text-align: left; float: left; padding-left: 3px;"><strong>Alternate Email:</strong></td>
<td height="25"><input name="txtEmail" type="text" class="text_field required" id="txtEmail" onkeypress="return onlyEmail(this,event);" size="30" maxlength="50"></td>
</tr>
</table>
</fieldset>

<fieldset class="border" id="set3" name="set3" width:98%;>
<legend class="FormTitle"><span id="translate40">&nbsp; Emergency Contacts</span></legend>
<table width="100%" cellspacing="0" cellpadding="0" border="0">
<tr>
  <td>&nbsp;</td>
  <td>&nbsp;</td>
</tr>
  <tr>
    <td height="25" nowrap="nowrap" style="text-align: left; vertical-align: top; padding-left: 3px;"><strong>Name : </strong></td>
    <td height="25" nowrap="nowrap" style="text-align: left; vertical-align: top;"><input name="txtAddress23" type="text" class="text_field required" id="txtAddress23" onkeypress="return onlyAlphaNumWithSChar(this,event);" value="Raju Srivastava&nbsp;&nbsp;(Uncle)" size="30" maxlength="50" /></td>
  </tr>
  <tr>
    <td height="25" nowrap="nowrap" style="text-align: left; vertical-align: top; padding-left: 3px;"><strong>Primary Phone : </strong></td>
    <td height="25" nowrap="nowrap" style="text-align: left; vertical-align: top;"><input name="txtMobileAreaCode2" type="text" class="text_field required" id="txtMobileAreaCode2" onkeypress="return isNumber(this,event);" value="+91" size="5" maxlength="3" />
        <input name="txtMobileNo2" type="text" class="text_field required" id="txtMobileNo2" onkeypress="return isNumber(this,event);" value="9987554432" size="18" maxlength="10" /></td>
  </tr>
  <tr>
    <td height="25" nowrap="nowrap" style="text-align: left; vertical-align: top; padding-left: 3px;"><strong>Second Phone : </strong></td>
    <td height="25" nowrap="nowrap" style="text-align: left; vertical-align: top;"><input name="txtMobileAreaCode2" type="text" class="text_field required" id="txtMobileAreaCode2" onkeypress="return isNumber(this,event);" value="+91" size="5" maxlength="3" />
        <input name="txtMobileNo2" type="text" class="text_field required" id="txtMobileNo2" onkeypress="return isNumber(this,event);" value="9987557689" size="18" maxlength="10" /></td>
  </tr>
  </tr>
  <tr>
    <td width="166" height="25" nowrap="nowrap" style="text-align: left; vertical-align: top; padding-left: 3px;"><strong>Address1 :</strong></td>
    <td width="439" height="25" nowrap="nowrap" style="text-align: left; vertical-align: top;"><input name="txtAddress23" type="text" class="text_field required" id="txtAddress23" onkeypress="return onlyAlphaNumWithSChar(this,event);" value="A5-82," size="30" maxlength="50" /></td>
  </tr>
  <tr>
    <td height="25" class="lab" style="text-align: left; float: left; padding-left: 3px;"><strong>Address2 : </strong></td>
    <td height="25"><input name="txtAddress23" type="text" class="text_field required" id="txtAddress23" onkeypress="return onlyAlphaNumWithSChar(this,event);" value="Heritage India," size="30" maxlength="50" /></td>
  </tr>
  <tr>
    <td height="25" class="lab" style="text-align: left; float: left; padding-left: 3px;"><strong>Country : </strong></td>
    <td height="25"><select onchange="javascript:fnGetDependentData('app_statecode_master',this.value,'entity_id@state_name','country_id','State,District','State,District');javascript:getCountryCode_India(this.value,'Applicant');" style="width: 180px;" name="select" id="select" class="Country_field">
      <option selected="selected" value="0">---Select---</option>
      <option value="23">Afghanistan</option>
      <option value="1">Algeria</option>
      <option value="2">Argentina</option>
      <option value="3">Australia</option>
      <option value="4">Austria</option>
      <option value="5">Bangladesh</option>
      <option value="6">Belgia</option>
      <option value="7">Brazil</option>
      <option value="8">British</option>
      <option value="9">Bulgaria</option>
      <option value="10">Cambodia</option>
      <option value="11">Canada</option>
      <option value="12">China</option>
      <option value="13">Colombia</option>
      <option value="14">Dutch</option>
      <option value="15">Egypt</option>
      <option value="16">Ethiop</option>
      <option value="17">Fiji</option>
      <option value="18">France</option>
      <option value="19">Georgia</option>
      <option value="20">German</option>
      <option value="21">Greek</option>
      <option value="22">Hungari</option>
      <option value="25">India</option>
      <option value="24">Indonesia</option>
      <option value="26">Iraq</option>
      <option value="27">Irish</option>
      <option value="28">Israel</option>
      <option value="29">Japan</option>
      <option value="30">Jordan</option>
      <option value="31">Kenya</option>
      <option value="32">Korea</option>
      <option value="33">Kuwait</option>
      <option value="34">Libya</option>
      <option value="35">Malaysia</option>
      <option value="36">Mauriti</option>
      <option value="37">Mexica</option>
      <option value="38">Mongolia</option>
      <option value="39">Nepal</option>
      <option value="40">New Zealand</option>
      <option value="41">Nigeria</option>
      <option value="42">Pakistan</option>
      <option value="43">Palestini</option>
      <option value="44">Portugues</option>
      <option value="45">Rom</option>
      <option value="46">Russia</option>
      <option value="47">Siberia</option>
      <option value="48">Singapore</option>
      <option value="49">South Africa</option>
      <option value="50">Spane</option>
      <option value="51">Sri Lanka</option>
      <option value="52">Sudan</option>
      <option value="53">Swedish</option>
      <option value="54">Swiss</option>
      <option value="55">Taiwan</option>
      <option value="56">Turk</option>
      <option value="57">Ugand</option>
      <option value="58">Ukraini</option>
      <option value="60">Uruguayan</option>
      <option value="64">USA</option>
      <option value="59">Uzbekistan</option>
      <option value="61">Vietnam</option>
      <option value="62">Zimbabwe</option>
      <option value="63">Other</option>
    </select></td>
  </tr>
  <tr>
    <td height="25" class="lab" style="text-align: left; float: left; padding-left: 3px;"><strong>State : </strong></td>
    <td height="25"><input name="txtAddress222" type="text" class="text_field required" id="txtAddress222" onkeypress="return onlyAlphaNumWithSChar(this,event);" value="Haryana" size="30" maxlength="50" /></td>
  </tr>
  <tr>
    <td height="25" class="lab" style="text-align: left; float: left; padding-left: 3px;"><strong>City : </strong></td>
    <td height="25"><input name="txtAddress222" type="text" class="text_field required" id="txtAddress222" onkeypress="return onlyAlphaNumWithSChar(this,event);" value="India" size="30" maxlength="50" /></td>
  </tr>
  <tr>
    <td height="25" class="lab" style="text-align: left; float: left; padding-left: 3px;"><strong>Pin : </strong></td>
    <td height="25"><input name="txtPincode2" type="text" class="text_field" id="txtPincode2" onkeypress="return isNumber(this,event);" size="30" maxlength="6" /></td>
  </tr>
  <tr>
    <td width="166" height="25" class="lab" style="text-align: left; float: left; padding-left: 3px;"><strong>Email:</strong></td>
    <td height="25"><input name="txtEmail22" type="text" class="text_field required" id="txtEmail22" onkeypress="return onlyEmail(this,event);" value="kumal.manchanda@uni.edu" size="30" maxlength="50" /></td>
  </tr>
  <tr>
    <td width="166" height="25" class="lab" style="text-align: left; float: left; padding-left: 3px;"><strong>Alternate Email:</strong></td>
    <td height="25"><input name="txtEmail3" type="text" class="text_field required" id="txtEmail3" onkeypress="return onlyEmail(this,event);" size="30" maxlength="50" /></td>
  </tr>
</table>
</fieldset>
<div class="sav" style="text-align:right;"><form action="education-qualification-edit.php" method="post"><input name="" type="button" value="Save" />  &nbsp; &nbsp;<input name="" type="button" value="Cancel" /> &nbsp; &nbsp;<input type="submit" value="Next" name="next"  onclick="./education-qualification-edit.php"/></form></div>
</div>
</div>
</div>
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</div><p style="padding-top: 10px;">
<script type="text/javascript">
	function printmydata()
	{
	w=window.open();
	w.document.write($('#timetable-data').html());
	//alert($('#timetable-data').html());
	w.print();
	w.close();
	
	}
</script>
</p>
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